Saturday, July 3, 2010

testing....

We stayed in Cincinnati Children's last week a couple days for Hannah's testing.  She had an EEG, a regular sleep study and an MSLT (daytime study) the next day.  All in all, it was a very good stay.  I think we got tons of information that will hopefully give the doctors a direction in which to go...

First off... For the first time since we have had Bltizen, he alerted at the hospital...........
wait for it......           wait for it........

WHILE SHE WAS HOOKED UP TO EEG LEADS!!!!  I know, shocker, right???   We were actually on the sleep lab floor and not the VEEG floor, so the nurses weren't nearly as excited.  She had a complex partial (first one we caught on EEG).  And this was on all meds too!!!  I am excited for Dr Neuro to check it out on EEG!!

So then about 9 pm. they hooked up all her sleep leads.  She has had many sleep studies before, so it really doesn't phase her anymore.  She fell asleep fairly quickly and had an uneventful night (with the excpetion of having to get up to go potty what seemed like a gazillion times!! The Respiratory Therapist started to get really annoyed that she had to keep unhooking her.... But, whatya gonna do???)  Although, I did notice that her carbon dioxide levels were on the high side (this is why she wears her BI PAP while she sleeps.... but she had her BI PAP on during testing and it was still high....  maybe need some changes there??)
The RT came in and woke us up at 7 am.  She was able to get to unhooked from the wall, move around a little and have breakfast.  So hears how the MSLT works....


Wake up at 7 am.... At 8:30 the room is made completely dark and she is given 20 minutes to fall asleep.  Once she falls asleep she is only allowed to sleep 15 minutes.  They come in and wake her up.  We did this all day long.  Every 2 hours she was "encouraged" to go to sleep. 8:30, 10:30, 12:30, 2:30 and 4:30.... In between each nap, she was unhooked and allowed to leave her room to go to the playroom, cafeteria, and gift shop!!!  She was so stoked.  She is never allowed to leave her room!!! 


Hannah was able to fall asleep 4 out of 5 naps!!  I really couldn't believe it.  I think she would have fallen asleep for the last one, but she was too excited to go home...  What they are looking for is for her to get into REM sleep 2 out of 5 naps.  If she does, she will be diagnosed with narcolepsy.  (so even though she slept, the question is whether she went into REM sleep....  I don't know....)
 I really didn't think we were going to get this diagnosis (and still haven't... have the follow up on the 13th), but I was hoping to shed some light on why she falls asleep so easy and so often.  While school was still in session, she was falling asleep in school and still falls asleep in the middle of the day, even on summer break.


So, I am really looking forward to the follow up to see what Dr Sleep and Neuro has to say....  Meantime, Hannah is doing pretty well.  It is summer....  Seizures always slow down in the summer.  Why??? 
NO SCHOOL!!!  School is her biggest stressor.  We see this trend every year....  She is only having a complex partial about 2-3 times a week!!!  I will take it!!!!!

1 comment:

happy's mommy said...

You were pretty excited about that seizure! lol

((((((((((hugs)))))))))))

...d

Beautiful Hannah...

How this journey started....

Hannah was born prematurely at 34 weeks gestation. She was a relatively healthy preemie; initially having difficulty maintaining body temperature and needing to grow. She weighed 4 pounds 9 ounces at birth. When she was four months old she began to drool, non stop. We were told the first year she was "teething." At 18 months old, we really started searching for reasons of why her shirt was always soaking wet. We saw various specialists who always sent us to another specialist, saying "everything looks okay." She spent years in oral motor/feeding therapy to help her not to drool. It wasn't until she was four years old and in preschool that we started to get some answers. Her preschool teacher commented one day that she wasn't reponding when her name was called. I took this information to her pediatrician who then orderd an EEG, "just to rule it out." Much to our shock and amazement, the results showed, she was having seizures. That is the day our journey REALLY began. Once she began taking seizure medication the drooling almost stopped completely. (She will still drool to this day when she is having seizure activity). Since then, it has been a roller coaster; countless medications and medication changes. She has never really reponded well to any medication.

About two years after she was diagnosed with epilepsy, the doctors noticed that her blood pressure was running high. After many tests, she was diagnosed with hypertension. We still are not sure why, but her cardiologist feels her blood vessels are thicker than normal.

About this same time, we also began looking into why Hannah was such a horrible sleeper. She would thrash, talk, move every which way, during her sleep. The sleep studies revealed that she has alveolar hypoventilation sydrome, which means she has too much carbon dioxide in her system when she sleeps. To help this, she wears a BI-PAP at night. This has been monumental in giving her more effective and quality of sleep.

Every day is a challenge for Hannah and our family as a whole. Blitzen has been an absolutely wonderful addition. She calms herself sometimes just by petting and loving on him. He has been trained in behavior disruptions and will sometimes be able to stop a meltdown from getting out of control.
It has been extra hard on the whole family since daddy is deployed to Iraq. He has been gone since January 09 and will gone until Jan 2010. We get to talk with him by phone and on the web cam; which is nice, but not the same!! Blitzen has helped to make his absence go just a little smoother....